<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Uid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-uid" class="form-control" name="row[uid]" type="number" value="{$row.uid|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bankname')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bankName" class="form-control" name="row[bankName]" type="text" value="{$row.bankName|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Banknum')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bankNum" class="form-control" name="row[bankNum]" type="text" value="{$row.bankNum|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bankicon')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bankIcon" class="form-control" name="row[bankIcon]" type="text" value="{$row.bankIcon|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bankcode')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bankCode" data-rule="required" class="form-control" name="row[bankCode]" type="text" value="{$row.bankCode|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bankphone')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bankPhone" data-rule="required" class="form-control" name="row[bankPhone]" type="text" value="{$row.bankPhone|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
